PROGRAM CONTACTS:

Darrick Nelson, M.D. Kristan Diaz-Rios, M.D. Program Director Associate Program Director

dnelson@hmsnm.org kdiaz@hmsnm.org

(575) 388-1511 X2717 (575) 388-1511 X2756

Virginia Hernandez M.D. Amanda Castillo Core Faculty Program Coordinator vhernandez@hmsnm.org acastillo@hmsnm.org (575) 388-1511 X2724 (575) 388-1511 X2744

HMS Silver City Community Health Center 1007 Pope Street, Silver City, NM 88061

575-388-1511 x2744 Visit us at:

http://newmexicoresidencies.org/silver-city/ Or on Facebook at:

www.facebook.com/hmsfmrp

HIDALGO MEDICAL SERVICES

FAMILY MEDICINE RESIDENCY PROGRAM

The 1 + 2 Rural Approach

Silver City, New Mexico

Program Overview

Photo By and Courtesy of Jaime Ramirez

Community-Based Training

Nestled in the heart of the Gila Wilderness, the HMS Family Medicine Residency Program is specifically designed in the “1+2” format to offer top quality training in an urban setting at Memorial Medical Center in Las Cruces, NM during the in-tern year, followed by a two-year robust, community training experience in Silver City, located in southwest New Mexico.

Decentralizing resident education adds value to the education experience by ensuring that each resident has more commu-nity-relevant experiences and training that models the gener-alist-specialist relationship. At a time when the United States finds itself with an inadequate supply of physicians, the dis-tribution of healthcare and access remains problematic. HMS has developed the HMS Family Medicine Residency Program in response to the primary care needs of our state and nation.

With over 20 years of experience hosting rural training rota-tions, HMS has been recognized by HRSA as the first Teaching Health Center in New Mexico and welcomes two residents per academic year as a 2/2/2 program.

In 1996, the County turned the reigns of the clinic over to HMS entirely and more significantly, continued to provide HMS with facilities and financial support to supplement State funding.

In 1997, with assistance from the UNM Office of Rural Outreach, HMS applied for federal funds through the State Community Health Center program and the Federal ORHP Rural Health Outreach grant program. HMS was awarded both grants in October of 1997. This development provided the resources to expand HMS clinical services.

The next few years were dedicated to site expansions and program development. Consistent with the HMS strategic plan a clinic opened in Animas at the public school; mental health, tele-radiology and family support services were also added. Plans were developed to design, finance and build a new health center in Lordsburg. In 2001, the financing package for the facility was finalized, thanks to a community-wide effort.

Today, HMS provides comprehensive primary care in 12 clinic facilities in Grant and Hidalgo counties, including digital diagnostic x-ray services in the medical and dental service lines, mental health services and family support services. HMS currently has over 180 staff members and a budget in excess of 15 million dollars.

HMS Home Base In Lordsburg

Hidalgo Medical Services positively impacts the health, well-being and quali-ty of life for the people we serve through comprehensive, affordable and

integrated personal and community health.

Our Mission:

History of HMS

Hidalgo Medical Services (HMS) hails from a “free-standing” National Health Service Corps site, developed in the 1980’s in Lordsburg, New Mexico. In those days, the federal government would assign physicians, physician assistants and other health professionals with an obligation to repay their education scholarships to Health Professional Shortage Areas. After a few years of success, the “Corps” providers left and because of changes in federal policy, no replacements were forthcoming.

In 1994, the Hidalgo County government applied for and received funds from the New Mexico Department of Health’s Primary Care Bureau to renew efforts to establish health care in the area. The $35,000 in funds allowed the county to hire a clinic director and support staff to begin developing the infrastructure for service delivery. In late 1994, NM DOH staff traveled to Lordsburg with two Family Medicine residents to discuss how everyone could work together to initiate services in Lordsburg.

In 1995, HMS opened its doors in a wing of the old hospital and began providing services, utilizing four physicians (including the two UNM Family Medicine residents) from Silver City. So, with a humble two-day-per-week clinic in Lordsburg, the Hidalgo County government and the newly reformed Board of Directors of HMS began their journey. The mission of HMS at the time: Recruit a physician for Hidalgo County.

Silver City Community Health Center

Curriculum

Year One at Memorial Medical Center

Care of the Older Adult

Obstetrics

Inpatient Pediatrics

Family Medicine Inpatient Service

Outpatient Pediatric Clinic

Inpatient Behavioral Health

Night Float

Year Two and Three in Silver City

Anesthesia

Behavioral Health

Cardiology

Community Health Orientation

Dermatology

Emergency Department

Electives/ Selectives

Evidence-Based Medicine

Family Medicine Inpatient Service

Family Medicine Outpatient Service

Geriatrics

Gynecology Outpatient / Women’s Health

Newborn Nursery

Obstetrics Inpatient Service

Orthopedics

Otolaryngology

Pediatric Inpatient Service

Pediatric Outpatient Service

Podiatry

Practice Management

Pulmonology

Radiology

Sports Medicine

Surgery

Our Modern Training Facility

The 30,000 SF HMS Community Health Center was built in 2012 and

includes the following features to support our Family Medicine Center

for Resident Training:

24 primary care exam rooms

Oversized family-friendly exam rooms conducive to multi-

disciplinary team-oriented treatment plans

Two (2) Procedure Rooms designed to accommodate minor surgical

procedures

10 Dental Suites

Mental Health Suites with adult group and child play areas

Community Health Workers in each clinical hallway

Three (3) community classrooms

Digitization of all health and radiology records

In-house Digital X-Ray

In-house Laboratory

OB Ultrasound and Colposcopy

Bone Density Testing

Three (3) one-bedroom apartments for student and resident

training. (We train between 65-70 medical and dental students and

residents annually from UNM and other universities nationwide)

Centralized Care Team Workspace that promotes a team-based

approach to patient care by co-locating providers with medical

assistants, referral clerks and other health professionals

Registered Dietician and Teaching kitchen

What Makes Us Unique

Living in the Land of Enchantment

New Mexico Highlights

5th Largest State in the Nation

Two Million People

13 National Monuments, Parks, Lakes, Forrest

Living in the Land of Enchantment is a Choice!

Enjoy the Outdoors

Enjoy the Arts

Health Professional Perks

Workforce opportunities are plentiful.

32 of New Mexico’s 33 counties are designated by HRSA as

Health Professional Shortage Areas

NM State Tax Credits for Health Professionals

Photo By and Courtesy of Jaime Ramirez Photo By and Courtesy of Jaime Ramirez

Recreation

Recreation

Shops

Art Galleries

Inviting multi-cultural eateries

Biking

Hiking

Camping

Fishing

Family Friendly

Great Community Parks

Special Event Parades

Jump-Into-Summer Family Fun Day

Community Swimming Pool

Interactive Community Events

Holiday Festivals

Community Theatre

Music Festivals

Photo By and Courtesy of Jaime Ramirez Photo By and Courtesy of Jaime Ramirez Photo By and Courtesy of Jaime Ramirez

Photo By and Courtesy of Jaime Ramirez

HMS Graduate Medical Education Training Competency Goals:

Provide a quality continuum of educational experiences for Residents

engaged in medical education;

Assist the State of New Mexico in meeting the statewide need for skilled

and competent practicing physicians, as well as attempting to help meet

workforce needs regionally and nationally;

Expand residency slots for nationwide medical school graduates;

Assure that resident education addresses the importance of quality

patient care and patient safety;

Train life-long learners for ongoing review of current standards of care

and critical appraisal of scholarly research with the goal of providing

excellent evidence-based care;

Assure that this family medicine training program provides educational

experiences that are sensitive to the unique multicultural environment

of New Mexico, while meeting or exceeding the standards of quality care

and professionalism;

Provide full-spectrum family medicine training;

Focus on the unique aspects of the practice of medicine in frontier and

rural communities.

Our Affiliated Hospital in Las Cruces

MEMORIAL MEDICAL CENTER Located in the Mesilla Valley of southern New Mexico - between the stun-ning Organ Mountains and the rambling Rio Grande - Memorial Medical Center serves the 300,000 residents of Las Cruces, Don a Ana County, and the surrounding region. They offer comprehensive care to their patients, including the latest in diagnostic, therapeutic, and rehabilitative services, both on an inpatient and outpatient basis. Family Medicine Residents will have the opportunity to start their training in an urban setting with a large volume of patients with diverse medicinal conditions. They will also have access to specialists from multiple disciplines prior to the transition of training to the rural setting of Silver City. Since Las Cruces and Memo-rial Medical Center serve as a referral center for the people living in and around Silver City, the Family Medicine Residents will have the oppor-tunity to get to know a large number of these specialists personally prior to making the transition to the rural training site.

www.mmclc.org

What Makes Silver City Unique

At-A-Glance

Rising 6,000 feet above sea level

3 Million Acres of Gila Wilderness

Outdoor Paradise

County Population: 10,300

320 days of sunshine each year

Avg. July high: 90 and low 60

Avg. January low: 24 and high 50

Cost of Living: 10% below the national average

Great Family Lifestyle

Art & Culture

Home of Cultural Explosion: Jazz & Blues Festivals, Cowboy

Poetry, Art Festivals

Two dozen art galleries and over 125 artists

2014 Smithsonian Institute America's Best Small Towns

Award

2008 Award for the 100 Best Small Towns in America

Voted among the 50 Healthiest Places to Live and Retire in the

United States

The 50 Most Alive Places to Live, the National Trust for Historic

Preservation's Dozen Distinctive Destinations

Oprah Winfrey's list of Top Spots to live

Richness of Culture: Tortilla Festivals, Pow-Wows, Rodeos

Photo By and Courtesy of Jaime Ramirez Photo By and Courtesy of Jaime Ramirez

Focus on Rural Training with assistance from other specialties and telemedicine programs

Protected Education Time – One day of didactics and scholarly

activity per week, focusing on robust lecture topics and activities. Modern Training Facility – Newly built 30,000 Square-Foot

facility Intimate Continuity Clinic Environment - Because the

program only accepts two residents per academic year, each resident is supported by the entire medical team and guaranteed a well-rounded, full spectrum experience with exposure to diverse and unusual cases

1.3 Residents to One Faculty Ratio Unopposed Training with no competition for procedures and

full access to Attending Physicians Richness of Culture – Southwest New Mexico boasts a very

diverse population and residents will develop an ability to understand, communicate with and effectively interact with patients across many cultures.

What Makes Our Program Unique

Photo By and Courtesy of Jaime Ramirez Photo By and Courtesy of Jaime Ramirez Photo By and Courtesy of Jaime Ramirez

Our Affiliated Hospital in Silver City

GILA REGIONAL MEDICAL CENTER Gila Regional Medical Center (GRMC) is the largest regional medical facility in southwest New Mexico serving a 4-county region and a population of over 63,000 and the only source of subspecialist care in the region. GRMC is a county-owned, not-for-profit, 68-bed acute care hospital. Gila Regional has a strong commitment to the people they serve. Its’ investments in technology and certified caregivers provide quality care delivery through a patient-centered approach. It is home to the Cancer Center and the Surgical Center of the Southwest. Residents will be exposed to rural medicine in a community hospital setting, while supported by a state-of-the-art facility with subspecialist back up for complex cases. The program benefits from an excellent relationship with the medical administration and medical community that is responsive and innovative in providing a good learning environment. .

www.grmc.org

Originally from a small mining town in Arizona and a U.S. Army Veteran, Dr. Darrick Nelson obtained his medical degree from the University of Texas Health Science Center at San Antonio. He graduated Magna Cum Laude from the University of Texas at Dallas with a Bachelor of Science degree in Biology. Prior to joining HMS, Dr. Nelson was a professor and a core faculty member at Texas A&M University Health Science Center, Department of Family and Community Medicine, Corpus Christi Family Medicine Residency Program where he was responsible for the teaching and supervision of residents in outpatient clinics, inpatient hospital, intensive care unit, newborn nursery, labor and delivery, including C-sections, high risk obstetrics, and indigent care. Dr. Nelson is a Fellow in Medical Informatics and was physician liaison for implementation of electronic clinical documentation system with CHRISTUS Spohn Shoreline Hospital.

Dr. Nelson serves as the Chief Medical Officer at HMS and the founding Program Director of the HMS Family Medicine Residency Program. Dr. Nelson directs the delivery of patient-centered primary care services for HMS as well as leadership and innovation on projects and programs to improve clinical and overall health outcomes for the residents of Southwest New Mexico. Dr. Nelson is one of the founders of the FORWARD NM – Pathways to Health Careers workforce program at HMS. This 5-stage program reaches students from secondary education throughout graduate degrees and includes the accreditation of the HMS Family Medicine Residency Program, the first Teaching Health Center designation in New Mexico.

In 2012, Dr. Nelson was named the New Mexico Primary Care Association's "Community Health Center Medical Provider for the Year." Dr. Nelson is a Fellow of the National Institute for Program Director Development. In addition, Dr. Nelson serves the Board of Directors for The National Rural Training Track Collaborative (“The RTT Collaborative” or “RTTC”), a newly established 501(c)(3) organized to sustain medical education in rural places.

Meet Our Program Director Darrick P. Nelson, M.D.

Meet Our Associate Program Director Kristan Diaz-Rios, M.D.

Dr. Kristan Diaz-Rios is a family medicine physician who graduated from Brown University’s Warren Alpert School of Medicine and completed her Family Medicine Residency and Obstetrics Fellowship at Christus Spohn Memorial Hospital in Corpus Christi, TX. While she has a special interest in Women’s Health and Adolescent Medicine, she also enjoys the full spectrum of patient care that Family Medicine has to offer. Dr. Diaz-Rios and her husband Rick Rios, D.C. live in Silver City with their son. They enjoy golfing, running and exploring New Mexico.

Meet Our Core Faculty Virginia Hernandez , M.D.

After completing her Family Medicine residency in 2012, Dr. Hernandez

practiced with an urgent care center and walk-in clinic, until she accepted

a locum tenens position with the Indian Health Service (IHS), San Carlos

Apache Indian Hospital, located in Arizona. She accepted this position in

the fall of 2013, and later served as a Medical Officer, with the IHS’ North-

ern Navajo Medical Center in Shiprock, New Mexico. Throughout her

medical career, Dr. Hernandez has always wanted to provide services to

patients in medically underserved communities. Her own childhood and

family experiences, which included a lack of access to care and language

barriers, instilled in her the desire to become a Family Physician in a ru-

ral community.